Full Name: Annie ELizabeth Travis
Certificate Number: C-28516
Date of Death: December 23, 1909
Gender: Female
Race: Colored
Marital Status: M
Age at Death: 1899/09/15 30
Place of Birth: Baltimore
Place of Death: Durham St, 408 N
Primary Cause of Death: Pneumonia
Father’s Name: John Baynard, Maryland
Mother’s Maiden Name: Rachel Green, Maryland
Occupation: Housewife
Date of Burial: 12/26/1909
Informant: James Travis, 405 N Durham St
Undertaker: Robert A Elliott, 506 Rogers Ave
Death Record Series ID: CM1132-104.xlsx
Notes: Hemorrhage of Lungs
